IVY PARK AT BURBANK

Official classification

Type B

Official code

87303(a)(1)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. (1) Floor .... kitchen areas shall be maintained in a clean, sanitary, and odorless condition. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in having kitchen floors, walls, doors and kitchen appliances such as industrial oven to be clean, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator will ensure that kitchen floors, walls, doors and kitchen appliances have been professionaly cleaned and sanitized and pictures are provided to LPA by the POC date.

Deadline recorded: Oct 31, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87208(a)

Regulation authority

CCR

What the official deficiency says

Plan of operation. In part .... The Licensee shall operate the facility in accordance with the terms specified with in the plan of operation. This requirement was not met as evidenced by: Based on information provided by the administrator during the interview S1 did not comply with the facility's medication policy, resulting in repeated medication errors, which poses/posed an immediate health, safety risk to persons in care.

Official plan of correction

Administrator terminated the employment of S1. POC cleared on the date of visit.

Deadline recorded: Apr 17, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. This requirement is not met as evidenced by: Deficient Practice Statement Based on, the licensee did not comply with the section cited above in during annual inspection LPA tested signal system from a resident's bathroom, staff took 30 minutes to clear alarm which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/21/2024 Plan of Correction Licensee will ensure facility has suffiecient staff at all times. As plan of correction, administrator will re-train care staff about the importance of tending in a timely maner the alarms from residents rooms. A proof of training will be sent to LPA via email before POC due date.

Official classification

Type B

Official code

87555(b)(15)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (15) All persons engaged in food preparation and service shall observe personal hygiene and food services sanitation practices which protect the food from contamination. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation), the licensee did not comply with the section cited above in kitchen staff/service staff not wearing hairnets while inside kitchen which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/21/2024 Plan of Correction Licensee will ensure all persons engage in food preparation and service shall observe personal hygene and food services sanitation at all times. As plan of correction, administrator will re-train kitchen and serving staff about the importance of wearing a hairnet while serving food and preparing it. Proof of training will be sent to LPA via email before POC due date.

Official classification

Type B

Official code

87705(c)(5)

Regulation authority

CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in not having a recent annual evaluation for a resident with dementia/alzheimer's as primary diagnosis which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/21/2024 Plan of Correction Licensee will ensure all residents that has dementia/alzheimer's as primary diagnosis, their annual evaluations are current. As plan of correction, administrator will acquire recent physicians report and file it on resident's file. Proof of recent medical report will be sent to LPA via email before POC due date.

Official classification

Type B

Official code

87207

Regulation authority

CCR

What the official deficiency says

87207 False Claims No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. This requirement was not met as evidence by: Based on a record review and observation. The facility has changed the name on the building, website and is currently advertising under a different name other than what is licensed, prior to approval from licensing. This poses a potential health and safety risk to residents in care.

Official plan of correction

Facility will submit documentation requested in the evaluation report by POC due date. The LIC 200 that was submitted on 01/05/2023 will be reviewed and subject to approval or denial. Documents must be sent on or before POC due date via fax or email.

Deadline recorded: Jan 30, 2023. A deadline is not proof that correction was completed.